BEES Please Questionnaire

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Overview

Introduction
1. Product Data
2. Facility Data
3. Installation & Maintenance
4. Utility Data (if applicable)

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Sheet 1: Introduction

Manufacturer-Specific Questionnaire for BEES Online
Company Contact Information
			Person in Charge of Completing Questionnaire:
			Your address:
			Tel:
			Email:
Site Information
			Site Name:
			Site Location:
			Products Produced at the site	Name of Product		Quantity Produced per Year
			and their quantity:
			Date Questionnaire Completed:
Published LCA Data on Your Product
Is there an LCA study or published EPD we can refer to?
				Questionnaire updated June 2016

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Sheet 2: 1. Product Data

1. Product Data
I	Bill of Materials (BOM)			Transport of Materials to the Site
		Units	Quantity	Distance (miles)	Mode	Notes:
a	Product mass per square area (ft2, m2…)
b	Product density
c	BEES product thickness (if applicable)
d	List materials in the product. Feel free to delineate by functional layers of the product.					Provide as % of total mass or as the weight of each material, which will add to the total mass you reported above.
II	Packaging
		Response:				Notes:
a	Describe how the product is packaged					Example: sheets of 5' x 20' rolled onto a recycled cardboard core and wrapped in plastic film.
				Transport of Materials to the Site
b	Packaging materials and quantity per amount of packaged product described in (a)	Units	Quantity	Distance (miles)	Mode	Notes:
III	Product Lifetime, Transport, and Other Data
		Units	Quantity			Notes:
a	Is this product for the commercial market, residential market, or both?
b	Expected Lifetime of the Product:	yr
	This info based on what?					Example: manufacturer warranty, knowledge of installed product in place …
c	Product indoor volatile organic compound (VOC) emissions
	What is this based on? (testing standard)
d	Avg. distance product is transported to customer in N.America:
	Mode of transport for final product:
e	Is the product recyclable?	Yes / No
	If yes, what percent is currently recycled at end of life?	%
f	Manufacturer suggested retail price (average in N.America):	$				provide pricing that excludes installation costs

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Sheet 3: 2. Facility Data

2. Plant & Manufacturing Data
General		Response:
Briefly describe the manufacturing process for your BEES product:
				Data Quality			Transport of Materials to the Site
		Units	Quantity	Source	Type	Year	Distance (miles)	Mode	Notes:
Products		.
Products	Building Product for BEES
									Provide the number of products or units produced in reporting year
	Other products produced at the facility
Inflows		.
Ancillary	Water use for cooling or steam prioduction
Materials &	Fresh water used for processing								If you recirculate water, provide make-up amount
Water	Reclaimed water used for processing								If you recirculate water, provide make-up amount
	Other water (specify: ________________)
	Other materials used for processing
	Lubricants								These are materials used in processing but are not found in the final product
	Others:
Purchased Energy:	Electricity
	Steam
	Compressed Air
	Others (please specify)
Purchased Fuels:	Coal
	Coke
	Natural Gas
	Fuel Oil
	Diesel Oil
	Gasoline
	Others (please specify)
Outflows
Solid Waste:	Solid waste categories						How is this managed?
	Non-hazardous solid waste
	Hazardous solid waste
	Other waste categories (specify):
	What percent of the product (trimmings, etc.) is generated at manufacturing and is disposed of as waste?	%
Recovered Matter:	Recovered Matter (please specify):						Fate of rec'd material
	What percent of the product (trimmings, etc.) is generated at manufacturing and is recovered?	%
Air Emissions:	Reported emissions (to TRI or other agency that requires you to report)
	Flue gas (volume)								Note: Any fuel-related emissions can be left out, unless they are part of your reported inventory emissions data
	List the emissions:
	add more rows as necessary
Water Effluents:	Water effluent data if available
	Wastewater total (volume)
	BOD
	COD
	Others:
	add more rows as necessary

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Sheet 4: 3. Installation & Maintenance

3. Installation and Maintenance Data
I	Installation data provided on the basis of:			(ft2, m2, etc.)
General		Response:
Describe how is the product installed:
		Units	Quantity per area basis above	Notes:
Inflows
Installation	Water
Materials	Adhesive
	Average VOC content of adhesive
	Is there a low-VOC adhesive alternative?
	Fasteners, e.g. nails (material: __________)			If weight per area is not available, provide number needed, gauge, and length
	Underlayment
	Others (please specify)
Energy	Electricity
	Steam
	Compressed Air
	Others (please specify)
Fuels	Propane
	Fuel Oil
	Diesel Oil
	Gasoline
	Others (please specify)
		Units	Quantity per area basis above	Notes
Outflows
Air emissions	Air emissions
	VOC
	Others:
Waste	What percent of the product is wasted due to installation (trim waste, etc.)	%
	How is this managed?	Example: landfill, recycled, etc.
II	Maintenance
General		Response:
Provide recommended maintenance guidelines for your product. Include names of recommended or generic cleaning / finishing products

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Sheet 5: 4. Utility Data (if applicable)

4. Utilities

List the Utility (e.g., cogenerator, wastewater treatment plant, etc.) below and provide data in each approporiate column

Identify the Utility

Describe what each utility on site does

Allocation to the product:

Utility provides

Example: Column D Utility: __WW treatment plant__

Example: the WWTP treatment plant treats the water from our nylon spinning and dye plants.

20%

services to the

Column D Utility: _________________

following processes

Column I Utility: _________________

on your site:

Column N Utility: _________________

Utility 1: _______

DQ

Utility 2: _______

DQ

Utility 3: _______

DQ

Transport of Materials to the Site

Units

Quantity

S

T

Y

Units

Quantity

S

T

Y

Units

Quantity

S

T

Y

Distance (miles)

Mode

Notes:

Inflows

`

Raw Materials:

Water

N/A

N/A

Others (please specify)

Purchased Energy:

Electricity

N/A

N/A

Steam

N/A

N/A

Compressed Air

N/A

N/A

Others (please specify)

Purchased Fuels:

Natural Gas

Fuel Oil

Diesel Oil

Gasoline

Others (please specify)

Outflows

Pollutants:

Pollutant Flows

Flue Gas

Wastewater

Solid Waste:

Total Solid Waste

Solid Waste